CHARLES WILLIAM WESTIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062515

License Status

CANCELLED

Business

Title

First Name

CHARLES

Middle

WILLIAM

Last Name

WESTIN

Business Name

CHARLES WILLIAM WESTIN MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

02/10/2016